2011-02-14T11:29:55-05:00 2010-03-31 MITCHELL & TITUS LLP ONE BATTERY PARK PLAZA NEW YORK NY 10004 990 2009-04-01 362448028 Jackson Park Hospital Foundation JACK 7739477989 7531 SOUTH STONY ISLAND Avenue CHICAGO IL 60649 MERRITT HASBROUCK 2011-02-11 2127094500 2009 2016-02-24 21:20:13Z Merritt Hasbrouck 7531 South Stony Island Avenue Chicago IL 60649 112659189 false X www.jacksonparkhospital.org X 1912 IL The mission of the physicians, staff, and Board of Directors of the organization is to provide compassionate and high quality healthcare services to meet the needs of the patients and communities we serve. 13 8 968 8 0 0 933601 467457 109679051 106046224 85647 22781 3144044 6122727 113842343 112659189 0 0 0 0 36618037 39489900 0 0 0 61163632 60335472 97781669 99825372 16060674 12833817 79147818 93455032 23170088 24829027 55977730 68626005 The mission of the physicians, staff, and Board of Directors of Jackson Park Hospital Foundation is to provide compassionate and high quality healthcare services to meet the needs of the patients and communities we serve. false false 42229156 34924306 Acute inpatient hospital services. 27616263 37747768 Emergency Room services. 8773536 6960820 Inpatient behavorial medicine services. 15458504 26413330 94077459 true true false true false false false false false true false true false false false false false false false false true false false true false false false false false false false false false false false false false true false false false true 151 0 true 968 true false false false false false false false false false 13 8 false false false false false false false true true false false true true true true true true true true false IL X NELSON VASQUEZ 7739477989 7531 SOUTH STONY ISLAND AVENUE CHICAGO IL 60649 Dr Arol Augsburger 2.0 X 0 0 0 James I Clark III 2.0 X 0 0 0 Dr Lakshmi Dodda 40.0 X 286465 0 0 Dr William O Dorsey III 2.0 X 100160 0 0 Dr Harshad Mehta 2.0 X 166405 0 0 Dr Joyce R Miller 2.0 X 0 0 0 Kay L Murray 2.0 X 0 0 0 Dr Bangalore R Murthy 2.0 X 139106 0 0 Dr Haroon Olomi 2.0 X 90545 0 0 Dinah Ramirez 2.0 X 0 0 0 Alderman Todd Stroger 2.0 X 0 0 0 Michael Wilczynski 2.0 X 0 0 0 Dr Emra Brooks Williams 2.0 X 0 0 0 Merritt Hasbrouck 40.0 X 442360 0 0 G Randall Smith 40.0 X 440920 0 0 Margo Brooks-Pugh 40.0 X 113431 0 0 Alvin L Kruse 2.0 X 0 0 0 James M Schraidt 2.0 X 0 0 0 Edward J Silha 40.0 X 278886 0 0 Nelson Vasquez 40.0 X 187958 0 0 Thodur Ranganathan 40.0 X 269200 0 0 Rose Ette 81.0 X 169381 0 0 Chioma Uche 66.0 X 137490 0 0 Gloria Ifebueme 62.0 X 129070 0 0 Ohuonu Uchechi 59.0 X 123450 0 0 3074827 0 0 41 false true false NICL Laboratories 306 Era Drive NORTHBROOK IL 60062 Pathology & Lab MGT 3516233 Progressive Nursing Staffers 5514 Alma Lane Suite 201 SPRINGFIELD VA 22151 Nurse Staffing 2195372 Emcare 7032 Collection Center Drive CHICAGO IL 60693 EMERG MED PHYSICIANS 1844193 Rush Nursing Agency 7501 South Stony Island CHICAGO IL 60649 Nurse Staffing 1536530 Amerisourcebergen 1001 West Taylor Road ROMEOVILLE IL 60446 DRUGS FOR PNT CARE 1490024 25 30000 437457 467457 NET PATIENT SERVICE REVENUE 611710 89329275 89329275 PROVIDER TAX PROCEEDS 621500 16716949 16716949 106046224 22781 22781 0 0 0 0 0 0 NET ASSETS RELEASED FROM RESTRICTIONS 900099 185542 185542 RESTRICTED DONATIONS - VC FUND 900099 337282 337282 OTHER REVENUE 900099 248320 248320 5351583 5351583 6122727 112659189 112168951 22781 0 0 0 1899291 0 1899291 0 0 29679099 29679099 0 0 0 7911510 7911510 0 0 0 492854 0 492854 0 93031 0 93031 0 60000 0 60000 0 0 0 0 18032052 14829315 3202737 0 0 9052245 9052245 0 0 0 0 2570509 2570509 0 0 0 0 0 150355 150355 0 0 0 1711568 1711568 0 0 1448115 1448115 0 0 PROVISION FOR BAD DEBTS 19469601 19469601 0 0 PROVIDER TAX EXPENSES 7131636 7131636 0 0 PENSION EXPENSE 123506 123506 0 0 99825372 94077459 5747913 0 5880653 6937276 54 0 56090053 66033613 717577 815193 349755 430644 66212239 47502853 15360530 18709386 749196 528920 79147818 93455032 11228415 10655571 2441960 3013973 2817864 4340709 6681849 6818774 23170088 24829027 X 55792188 68626005 185542 0 55977730 68626005 79147818 93455032 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 130500 false false 130500 false false 2482024 2482024 40985555 30955438 10030117 21782410 16324934 5457476 962250 222481 739769 18709386 0 SELF-INSURANCE LIABILITY 6818774 6818774 Accounting for Uncertainty in Income Taxes Schedule D, Part X On March 31, 2010, the Corporations adopted the requirements of Financial Accounting Standards Board (FASB) Accounting Standards Update (ASU) 2009-06 regarding uncertain tax positions. ASU 2009-06 defines how uncertain tax positions should be recognized, measured, presented, and disclosed in the financial statements. It requires entities to recognize a tax benefit from an uncertain tax position only if it is more likely than not that the position is sustainable, based solely on its technical merits and consideration of the relevant taxing authority's widely understood administrative practices and precedents. The Corporations have evaluated tax positions taken or expected to be taken to determine whether the tax positions are more likely than not to be sustained by the applicable taxing authority, and have determined that they currently do not have any uncertain tax positions. true true true X true X true true true false true true 13040251 0 13040251 0.13070 35604769 21395971 14208798 0.14230 48645020 21395971 27249049 0.27300 2180378 379511 1800867 0.01800 0 -57844118 57844118 0.57950 2180378 -57464607 59644985 0.59750 50825398 -36068636 86894034 0.87050 true 5321042 5345869 23854905 24517727 -662822 true true JACKSON PARK HOSPITAL FOUNDATION

7531 South Stony Island chicago IL 60649

X Provision for bad debts of 19,469,601 was excluded Cost for determining bad debts and other community cost are based on the Medicare cost to charge ratio. The short fall reported on Part III, Line seven should be treated as a community benefit because this amount represents the difference between the hospitals cost and amounts received from both Medicare and Medicaid. Patients who are known to qualify for charity care or financial assistance are placed into their own financial class in our business systems. This insures that they are not billed or placed into collections. Jackson Park Hospital continually assesses the health care needs of its community through its Family Practice clinic, medical education program and school based clinic. These programs are community based and the hospital receives constant feedback from the medical professional in the field as to what services are needed in the community. Upon registration or admission, un-insured patients are informed that they may be eligible for assistance under federal or state programs. We employ a specialized company that will work with the patient to qualify them for this assistance and or qualify the patient under our charity care policy. Jackson Park Hospital primary services are the five zip codes of 60649, 60637, 60619,60617 and 60615 located on the far south side of the City of Chicago. The demographic profile of these zip codes is prominently African American with incomes generally below both the City of Chicago and State of Illinois income levels. X X false false false false false false false false false Dr Lakshmi Dodda 286465 0 0 0 0 0 0 0 0 0 286465 0 185373 0 Dr Harshad Mehta 166405 0 0 0 0 0 0 0 0 0 166405 0 111358 0 Merritt Hasbrouck 317986 0 120261 0 4113 0 0 0 0 0 442360 0 450277 0 G Randall Smith 317986 0 120261 0 2673 0 0 0 0 0 440920 0 448638 0 Edward J Silha 160945 0 115774 0 2167 0 0 0 0 0 278886 0 278862 0 Nelson Vasquez 182541 0 4450 0 967 0 0 0 0 0 187958 0 203168 0 Thodur Ranganathan 268510 0 0 0 690 0 0 0 0 0 269200 0 250645 0 Rose Ette 169260 0 0 0 121 0 0 0 0 0 169381 0 188820 0 Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11A The Chairman of The Board and Audit Committee along with the senior management team reviews the Form 990 prior to its filing. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c All officers, directors or trustees, and key employees are required to complete a conflict of interest disclosure form every three years. Jackson Park Hospital Foundation is scheduled to complete this procedure in its fiscial year 2011. Offices & Positions for Which Process was Used, & Year Process was Begun Form 990, Part VI, Question 15a & B Jackson Park Hospital Foundation has a compensation committee. The Chairman of The Board reviews the compensation of senior management and key employees on an annual basis. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 Jackson Park Hospital Foundations makes its 990, Conflict of Interest Policy, Community Benefit Report and Financial Statements available to the public by appointment with its Vice President of Finance. Foundation For Jackson Park Hospital 7531 South Stony Island chicago IL 60649 270029181 healthcare IL 11 501(c)(3) na Friedell Clinic 7531 South Stony Island chicago IL 60649 363290656 healthcare sv IL na c corp. 100 100 1.00000 false false false false false false false false false false false false false true false false false false Friedell Clinic n 94030